COMLEX LEVEL 2 CE - MEDICAL LAW/ETHICS
What is the Federal Anti-Kickback statue? - Answer -made with intention to prohibit the
practice of paying medical professionals solely to endorse and promote the use of
certain medical devices and supplies.
-you must disclose any financial relationship you have with a product (i.e. getting
royalties for a new device you helped invent)
COBRA - Answer -The Consolidated Omnibus Budget Reconciliation Act (COBRA)
health benefit provisions amend the Employee Retirement Income Security Act, the
Internal Revenue Code and the Public Health Service Act to require group health plans
to provide a temporary continuation of group health coverage that otherwise might be
terminated.
ERISA - Answer -The Employee Retirement Income Security Act of 1974 (ERISA) is a
federal law that sets minimum standards for most voluntarily established pension and
health plans in private industry to provide protection for individuals in these plans.
NMHPA - Answer -Newborns' and Mothers' Health Protection Act of 1996 (NMHPA) is
a federal law that affects the length of time a mother and newborn child are covered for
a hospital stay in connection with childbirth. In general, group health plans and health
insurance issuers that are subject to NMHPA may NOT restrict benefits for a hospital
stay in connection with childbirth to less than 48 hours following a vaginal delivery or 96
hours following a delivery by cesarean section
Res ipsa loquitur - Answer -Res ipsa loquitur often arises in the "scalpel left behind"
variety of case. For example, a person goes to a doctor with abdominal pains after
having his appendix removed. X-rays show the patient has a metal object the size and
shape of a scalpel in his abdomen. It requires no further explanation to show the
surgeon who removed the appendix was negligent, as there is no legitimate reason for
a doctor to leave a scalpel in a body at the end of an appendectomy.
Drug Trials - Answer -Phase I safety
Phase II involves subjects with disease
Phase III large scale testing
Phase IV post release surveillance
Phase V compares data found during the clinical trial with clinical data collected over
several years following the release of the drug
Healthcare Integrity and Protection Data Bank (HIPDB) - Answer -United States
Government program that the collects and discloses authorized users negative
information on health care practitioners, including malpractice awards, loss of license or
exclusion from participation in Medicare or Medicaid.
--primary goals of improving health care quality, protecting the public and reducing
health care fraud and abuse
What is the Federal Anti-Kickback statue? - Answer -made with intention to prohibit the
practice of paying medical professionals solely to endorse and promote the use of
certain medical devices and supplies.
-you must disclose any financial relationship you have with a product (i.e. getting
royalties for a new device you helped invent)
COBRA - Answer -The Consolidated Omnibus Budget Reconciliation Act (COBRA)
health benefit provisions amend the Employee Retirement Income Security Act, the
Internal Revenue Code and the Public Health Service Act to require group health plans
to provide a temporary continuation of group health coverage that otherwise might be
terminated.
ERISA - Answer -The Employee Retirement Income Security Act of 1974 (ERISA) is a
federal law that sets minimum standards for most voluntarily established pension and
health plans in private industry to provide protection for individuals in these plans.
NMHPA - Answer -Newborns' and Mothers' Health Protection Act of 1996 (NMHPA) is
a federal law that affects the length of time a mother and newborn child are covered for
a hospital stay in connection with childbirth. In general, group health plans and health
insurance issuers that are subject to NMHPA may NOT restrict benefits for a hospital
stay in connection with childbirth to less than 48 hours following a vaginal delivery or 96
hours following a delivery by cesarean section
Res ipsa loquitur - Answer -Res ipsa loquitur often arises in the "scalpel left behind"
variety of case. For example, a person goes to a doctor with abdominal pains after
having his appendix removed. X-rays show the patient has a metal object the size and
shape of a scalpel in his abdomen. It requires no further explanation to show the
surgeon who removed the appendix was negligent, as there is no legitimate reason for
a doctor to leave a scalpel in a body at the end of an appendectomy.
Drug Trials - Answer -Phase I safety
Phase II involves subjects with disease
Phase III large scale testing
Phase IV post release surveillance
Phase V compares data found during the clinical trial with clinical data collected over
several years following the release of the drug
Healthcare Integrity and Protection Data Bank (HIPDB) - Answer -United States
Government program that the collects and discloses authorized users negative
information on health care practitioners, including malpractice awards, loss of license or
exclusion from participation in Medicare or Medicaid.
--primary goals of improving health care quality, protecting the public and reducing
health care fraud and abuse
